Subconjunctival hemorrhage
Hello doctor, twelve days ago I was hit in the eye by my son, resulting in a large subconjunctival hemorrhage.
After twelve days, only a small strip, about the size of a toothpick, remains next to the black part of my eye, and it is slowly fading.
However, the fading seems much slower compared to how quickly the larger area reduced in size.
I'm worried that this small strip might not heal.
Is warm compress beneficial? Also, I have been taking cold medicine recently; will that affect the healing? Thank you.
Cai Cai, 30~39 year old female. Ask Date: 2019/06/08
Dr. Gao Pilin reply Ophthalmology
Hello, Cai Cai: Subconjunctival hemorrhage will gradually resolve on its own, so there is no need to worry.
If there are no other issues, subconjunctival hemorrhage typically does not lead to any long-term effects.
Warm compresses are fine, and taking cold medication will not have any impact.
In Taiwan, the ophthalmology department at Puzi Hospital is open on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and on Wednesday afternoons from 2:00 PM to 4:30 PM.
Please note that online responses should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pilin
Reply Date: 2019/06/08
More Info
Subconjunctival hemorrhage, commonly referred to as a "bloodshot eye," occurs when small blood vessels in the conjunctiva (the clear membrane covering the white part of the eye) break, leading to bleeding. This condition can be alarming, especially when it appears suddenly and significantly, but it is usually harmless and resolves on its own.
In your case, it has been twelve days since the injury, and you are observing that the large area of hemorrhage has reduced significantly, leaving only a small strip of blood near the eyeball. This gradual fading is typical, as subconjunctival hemorrhages can take anywhere from a few days to several weeks to fully resolve. The healing time can vary based on the size of the hemorrhage and individual factors such as age, overall health, and the body's healing response.
The small remaining strip of blood you see is likely just a residual effect of the initial hemorrhage. It is not uncommon for the last remnants of a subconjunctival hemorrhage to take longer to clear up than the initial larger area. As long as you are not experiencing any pain, vision changes, or other concerning symptoms, this residual bleeding should eventually resolve on its own.
Regarding your questions about care, applying a warm compress (heat) can be beneficial. Heat can help improve blood circulation in the area and may promote healing. You can gently apply a warm, damp cloth to the closed eyelid for about 10-15 minutes several times a day. However, avoid any direct pressure on the eye itself, as this could exacerbate the situation.
As for the cold medication you mentioned, it typically should not affect the healing of a subconjunctival hemorrhage. However, some cold medications can contain ingredients that may thin the blood or affect blood pressure, which could theoretically influence bleeding tendencies. If you are concerned about the interaction of any medications you are taking, it is always best to consult with your healthcare provider or pharmacist.
In summary, the healing process for subconjunctival hemorrhage can take time, and the remaining small strip of blood is likely to fade gradually. Warm compresses can aid in the healing process, and your current medication should not significantly impact the recovery unless specified otherwise by your doctor. If you notice any changes in your vision, increased pain, or if the hemorrhage does not continue to improve over the next few days, it would be wise to seek further evaluation from an eye care professional.
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